An investigation of 3D spinal alignment in cervicogenic headache

There is a growing interest in the impact of body posture influences on outcome measures of cervicogenic headache (CGH). To evaluate differences in the 3D spinal alignment in cases suffering from chronic CGH compared to a group of strictly matched control participants without CGH. A single-blinded,...

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Bibliographic Details
Published in:Musculoskeletal science & practice 2021-02, Vol.51, p.102284-102284, Article 102284
Main Authors: Moustafa, Ibrahim M., Shousha, Tamer M., Harrison, Deed E.
Format: Article
Language:English
Subjects:
Case-Control Studies
Cervicogenic
Headache
Humans
Kyphosis
Lordosis
Post-Traumatic Headache
Posture
Spine
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Summary:There is a growing interest in the impact of body posture influences on outcome measures of cervicogenic headache (CGH). To evaluate differences in the 3D spinal alignment in cases suffering from chronic CGH compared to a group of strictly matched control participants without CGH. A single-blinded, comparative cohort design. 100 participants suffering from frequent headaches for at least 3 months who fulfilled the CHISG criteria for CGH were match by age and sex to 100 asymptomatic control group participants. A 4D Formetric device was used to assess participants’ posture variables of: 1) thoracic kyphosis max (ICT-ITL in degrees); 2) trunk lateral imbalance (VP-DM in mm); 3) Trunk anterior inclination (VP-DM in mm); 4) lumbar lordotic angle (ITL-ILS max in degrees); 5) Vertebral rotation (rms) in degrees. A matched-pairs binary logistic regression was used to determine whether measurements of posture demonstrated an association with the likelihood of the presence of CGH. There were statistically significant differences between the CGH and control group for all posture variables indicating larger posture displacements in the CGH group: ICT-ITL (p 
ISSN:2468-7812
2468-7812
DOI:10.1016/j.msksp.2020.102284